Getting reimbursed for telehealth services can be tricky i. The telemedicine reimbursement guidelines vary greatly based on the payer and are still constantly changing as more of the healthcare industry jumps on the telemedicine bandwagon. To help guide you through telemedicine billing and reimbursement, our team has done some research to answer the common questions we hear from providers. How do you bill for telemedicine? What do you need to know about the state telemedicine policy? How does reimbursement differ for Medicare or Medicaid vs. private payers?
Determine the type of telehealth: There’s a huge range of telehealth services available. Are you considering a live video solution? Software for remote patient monitoring? The type of telemedicine solution you’re using will affect how you bill and how you get reimbursed. For instance, in all except two states, Medicare reimburses for live video telemedicine and not store-and-forward (also called asynchronous) solutions.
Define your use case: How will you be using telemedicine? Will you be using it to check-in with patients after hospital discharge? To treat patients with minor acute conditions like infections? To consult a specialist during a patient visit? Researching reimbursement will be easier if you have a specific use case in mind.